MARKLUND CHILDRENS HOME DME NPI 1639561772

NPI Information

  • NPI: 1639561772
  • Provider Name: MARKLUND CHILDRENS HOME DME
  • Classification: Skilled Nursing Facility - 3140N1450X
  • Specialization: Nursing Care, Pediatric
  • Entity Type: Organization
  • CLIA Number: 14D2202262
  • Address: 1S450 WYATT DR
    GENEVA, IL
    ZIP 60134
  • Phone: (630) 593-5500

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NPI Details

MARKLUND CHILDRENS HOME DME is a nursing care and pediatric skilled nursing facility in Geneva, IL. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. MARKLUND CHILDRENS HOME DME NPI is 1639561772. The provider is registered as an organization entity type.

The provider's business location address is:

1S450 WYATT DR
GENEVA, IL
ZIP 60134-921
Phone: (630) 593-5500

The provider's authorized official is Gilbert Fonger .
The authorized official title is Ceo/president and has the following contact phone number (630) 593-5500.

The CLIA number assigned to this NPI record is 14D2202262 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2015 and was last updated on 2/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13140N1450XSkilled Nursing FacilityNursing Care, PediatricYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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